儿童急性中耳炎诊断治疗指南.pdfVIP

AMERICAN ACADEMY OF PEDIATRICS AND AMERICAN ACADEMY OF FAMILY PHYSICIANS CLINICAL PRACTICE GUIDELINE Subcommittee on Management of Acute Otitis Media Diagnosis and Management of Acute Otitis Media ABSTRACT. This evidence-based clinical practice a significant impact on the health of children, cost of guideline provides recommendations to primary care cli- providing care, and overall use of antibacterial nicians for the management of children from 2 months agents. The illness also generates a significant social through 12 years of age with uncomplicated acute otitis burden and indirect cost due to time lost from school media (AOM). and work. The estimated direct cost of AOM was The American Academy of Pediatrics and American $1.96 billion in 1995. In addition, the indirect cost Academy of Family Physicians convened a committee 1 composed of primary care physicians and experts in the was estimated to be $1.02 billion. During 1990 there fields of otolaryngology, epidemiology, and infectious were almost 25 million visits made to office-based disease. The subcommittee partnered with the Agency physicians in the United States for otitis media, with for Healthcare Research and Quality and the Southern 809 antibacterial prescriptions per 1000 visits, for a California Evidence-Based Practice Center to develop a total of more than 20 million prescriptions for otitis comprehensive review of the evidence-based literature media–relate